SCHOOL APPROVAL FORM
Student's name and address

Name: (First) _____________________________________  (Middle) __________________________________  (Last) ____________________________________


Address: ________________________________________________________________________                       Apartment .No. __________________________


City: __________________________________________________     State: _______________________________    Zip code: _____________________________
X_____________________________________                          _____________________________
Students Signature                                                                                                             Date

Name and address of Jr or High School

School's Name ______________________________________________________________________

Address: __________________________________________________________________________

City: ______________________________________   St: _______  Zip code: ____________________


This is to verify that the above named student has passed at least 8 courses in the last two semester.

                   [         ] yes                                                {         ] No


X____________________________________________                     _____________________________
    Signature of school official                                                                        Date
CENTRAL
DRIVING ACADEMY
Jr, High school should keep a copy for their records
________________________________________________________________________________________________________________________________________
Name of Driving School
CENTRAL DRIVING ACADEMY
1455 W. Fullerton Ave.        Chicago,IL 60614           Phone (773) 868-3927             Fax (773) 290-1680
_____________________________________________________________________________________
Step 1 Fill out your (students) name and address                                                                                        .
Step 2 Student and a parents signs and dates the form                                                                                
Step 3 Take form to your Jr or  High school and have the school fill out and sign the last part of form.        
X_____________________________________                          _____________________________
Parent Signature                                                                                                             Date
Instructions
Make sure you completed steps 1 to 3 then mail this form to CENTRAL DRIVING ACADEMY
1634 W. Montrose Ave. Chicago, IL 60613. For help call (773) 868-3927